SUMMER KIDS CLUB 2019
Please complete a form for each individual child.
Child's First Name *
What they prefer to be called
Your answer
Child's Last Name *
Your answer
Child's Gender *
Child's Age *
Allergies / Medical Conditions
Please list any medical information our staff should be aware of (Bee Sting or Peanut Allergies etc...)
Your answer
Parent's Name *
Your answer
Best Phone Contact # *
Your answer
Secondary Phone Contact #
Your answer
Another phone contact #
Your answer
Best Email address *
This is email where confirmation will be sent, and weekly updates will go to.
Your answer
Second Email
Your answer
List those people who can pick up your child
These are the only people our staff will release your child to
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service